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Endocarditis Prophylaxis — EECC MCQ

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HardValvular Heart DiseaseEndocarditis ProphylaxisEECC

A man with a mechanical aortic valve is scheduled for dental extraction involving gingival manipulation. He has no penicillin allergy. Which prophylaxis approach is appropriate in UK/European specialist practice?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Single pre-procedure amoxicillin dose

A prosthetic valve places the patient in the highest infective-endocarditis risk group. European specialist guidance supports antibiotic prophylaxis for invasive dental procedures after informed discussion; it complements, rather than replaces, meticulous oral hygiene and dental care.

Reference: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines